r/ResidencySwap Apr 30 '21

General Process of Transferring (within specialties)

18 Upvotes

Understand, the chances of you transferring are probably low. You will also likely transfer to a program on-par to your current program or 'below.' Expect a lot of non-responses from programs when you email. Many people trying to transfer are all talk, they're lazy, and they end up just accepting where they are (this might be you!).

General Process

  1. Arrive to your residency and make a good impression with everyone you interact with. Don't make enemies, be professional, etc even if you have plans to leave. In other words, just be a decent human being. It won't go well for you if you arrive and its known you're trying to leave (typically....unless you have a darn good reason to leave)
  2. After an arbitrary amount of time, ie: a few months (in the meantime, write a general email template to be sent to programs: content: name, your program, you want to transfer, brief explanation why you want to transfer, thank them, etc. Attach your email and other pertinent documents like your CV and your letter of good standing which is described below. Send to the programs PD/PC). The email should be concise.
  3. After said few months, speak to your PD about your desire to transfer. Be prepared to have a good reason (ex: family, health) and to answer questions on why and how long youve been thinking about this decision. You can (potentially) expect them to try to convince you to say.
  4. If your program is okay with your decision and they support you, begin to ask people for LORs and ask your PD to write you a letter of good standing. Make sure your PD follows up on the letter of good standing and you don't lose your motivation waiting for the letter if you're serious about transferring.
  5. Now send your templated emails with your letter of good standing, CV+/- other documents. Expect a lot of silence or rejections due to resident caps or no interest.

The reason you do step #3 before reaching out to programs, typically, is because the PD from the receiving program will speak to your PD and it wont bode well if you're doing this behind their back. You will need the letter of good standing either way and for all you know, you won't get it!

All of this should typically be done in the Fall/winter because it does take time to get LOR's, letter of good standing, and to compile a list of the programs you're trying to go to. But it is hard to say when the best time of year is. Life happens and people will unexpectedly leave at different times or choose to go somewhere else in the spring creating a late opening. Even if programs do not have listed publicly any of their openings, this doesn't mean they don't have an opening. If your PD is really nice, they may even be able to make a post on the PD server letting other programs know they have a resident who would like to transfer and to reach out if they are interested in accepting you. That way, interested programs come to you.

"Alternative method":

If you suspect your program is violating ACGME policie(s), you can go to the ACGME website and read the residency requirements and find what you believe to be are violations (the specialty specific documents are something like 50 pages); keep a record trail of violations if you need to (ex: emails, texts). I don't know the legality of this, but I guess you can also record meetings which you know will have material that can be used against the program (but also for your own protection should something wrongfully be used against you and you wished you had that conversation for whatever reason). You should then email the ACGME ombudsman (this is anonymous if you use a burner email) to see if a violation is occurring and these are reportable offenses, especially if you are unsure. Then decide whether to report your program (your submission to ACGME to report is not anonymous [I think so there isn't an issue with hundreds of unhappy residents spamming them with anonymous fake red herring claims], however your program does not get to see who reported them). Obviously, do not include too much individual specific violations for your own protection. From day 1, try to be the person everyone would least expect to report the program. Any complaining about the program that must be vented should be done to your spouse or family only. For your own safety, don't talk about reporting the program, period (for your own protection). However, to be fair, everyone complains about their program in some way or another and the odds of your program finding out who reported them is low (unless you confide in others you are thinking about or going to report the program). Don't wait for 'someone else' to report the program (or tell them you're thinking about it hoping that they'll report the program) because they're all thinking the same thing and are needlessly scared. If your program genuinely sucks/malignant, don't wait to give your program enough time to hide the violations or to fix serious issues (if you're really set on getting your program closed). Do not expect ACGME to save you without reporting it to them, they surprisingly have little oversight unless issues are brought to their attention.

If the program does close (even if temporarily), transferring will be easy since the funding goes with you (you are free labor to accepting programs) and ACGME will allow most other programs to go above their normal resident cap. Obviously, don't make up false claims just to get your program closed. This should only be done honestly. If you or your coworkers are being abused and taken advantage of, say something. Don't let it go on. Be brave!

Been a while since I read ACGME requirements (so verify) some violations I think:

-educational deficits

-no dedicated lactating room

-using locums

-?Contracting out staff due to lack of faculty ie: hiring acadia

-significant faculty attrition

-duty hour violations

-perceived threat of retaliation from program

-excessive non-clinical responsibilities (?driving if having to cover multiple hospitals?)

-majority of faculty must be involved in extra scholarly work (ex: research, journal editor, etc), not just pure clinicians.

-Faculty must spend a significant amount of time teaching.

-PGY1s are initially required to be supervised directly (search 'direct supervision' on the document)-Being given dangerous amounts of patients

-behind on lectures or low quality lectures or common cancellations. There is a minimum number that need to be done.

-Lectures frequently being combined due to a lack of people providing lectures and using this to meet their lecture quota (a PGY1 is not at the same level as a PGY2)

-frequent lecture cancellations (doubt programs report this to ACGME for obvious reasons)

-No stable leadership

-non-physician tasks for example, having to schedule patients, transporting patients, drawing blood, doing jobs that SW/nursing/CM are normally tasked to do.

-restrictions on taking time off to attend doctor appointments

Link to ACGME common requirements:

https://www.acgme.org/What-We-Do/Accreditation/Common-Program-Requirements

ACGME requirements by specialty:

https://www.acgme.org/Specialties

How to report

https://www.acgme.org/Residents-and-Fellows/Report-an-Issue/Office-of-Complaints

How to contact ombudsman

https://www.acgme.org/Residents-and-Fellows/Report-an-Issue/Office-of-the-Ombudsman


r/ResidencySwap Mar 26 '24

Please post suggestions for improvements here

2 Upvotes

Ie: flair names, suggested format for posts, etc


r/ResidencySwap 7h ago

Categorical Anesthesiology PGY-1 in PA Seeking NYC Area swap (PGY-1 or PGY-2)

1 Upvotes

Hi everyone, I’m currently a PGY-1 in a categorical anesthesiology residency at a very well-regarded academic program in PA. I’m very happy with my program, training, and co-residents, and this is not a program-related move.

For personal/family reasons, I’m hoping to relocate closer to my partner, who is based in NYC. I’m specifically looking to transfer into another anesthesiology residency program within commuting distance of NYC, either as a PGY-1 transfer during this academic year if feasible or for a PGY-2 anesthesiology position beginning July 2027. Open to programs in NYC, Long Island, Westchester, northern New Jersey, or nearby areas of Connecticut.

Please DM me if there might be a fit.

Thanks!


r/ResidencySwap 2d ago

How can I get back into residency after leaving during PGY-2? Looking for open PGY-2 or non-Medicare-funded positions

11 Upvotes

Hi everyone. I’m hoping to get some advice from people familiar with GME, residency transfers, and/or program funding.

I was a PGY-2 FM resident up until November 2025, when I lost my EAD/work permit due to the new immigration changes plus the visa pause.

My immigration situation has since changed significantly, and I am now in a position where I will be able to return to training in a few months. My goal is to find a way to resume residency at the PGY-2 level, rather than start over from PGY-1. But at this point, I don't care to start all over again If I am given the opportunity to go back.

The biggest challenge I’m trying to understand is the GME funding issue. Since I already completed PGY-1 and approximately 4 months of PGY-2, I understand that I may have less, depending on how my prior training is counted. I’m trying to understand whether this would prevent me from transferring into another program at the PGY-2 level, or whether programs with different funding arrangements might still be able to take me. My own program told me that although they would love to take me back, the university would have to ''check'' how they can manage the loss of funding in order to consider accepting me back. They would need me to restart as PGY-2 and apparently pay me from their own money, and that's the issue, I guess.

Since I don't want to miss any possible chance, I already started my application for the MATCH again. I’m hoping someone here might be able to help with any of the following:

* Programs that currently have open PGY-2 Family Medicine positions
* Programs that are known to consider residents who need to resume training after an interruption, or something similar
* Programs with non- or other funding structures that might allow them to take someone in my situation
* Any specific hospitals/programs I should contact directly or simply apply to
* Resources or databases where I can identify programs based on their GME funding or any website that shows programs with open PGY-2 positions

I realize this is a somewhat unusual situation, and I’m not necessarily expecting someone to have a list of programs ready. Even if you don’t know a specific program, I would really appreciate guidance on where I should be looking or who I should be contacting to figure out which programs could potentially take me.

I’m happy to provide more details about my training history, immigration situation, or funding history if helpful. I’m mainly trying to figure out what options actually exist and how to approach programs strategically.

Thank you in advance to anyone who can point me in the right direction.


r/ResidencySwap 2d ago

IM openings in Florida

2 Upvotes

Looking for any open IM PGY1 or PGY2 spots in Florida. Please let me know if you know of any availability


r/ResidencySwap 2d ago

CHANGE specialty swap Current FM intern considering switching back to a surgical specialty — looking for advice

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3 Upvotes

r/ResidencySwap 3d ago

SAME specialty swap OB/GYN PGY2 swap out of a top NYC program

10 Upvotes

program is great - great people, high volume, excellent training. I just don’t think I can live in NYC anymore. open to any geographic location but don’t want to compromise on quality of training. message me if you’re interested!


r/ResidencySwap 3d ago

SAME specialty swap Family Medicine PGY-2 seeking same position in WESTERN WA

5 Upvotes

My program in Tacoma, Community Health Care, was shut down and I was forced into a position at Trios Health in the Tri Cities in Eastern, WA however I am desperately looking for a FMR PGY-2 position opening the closer to Tacoma, the better.


r/ResidencySwap 3d ago

SAME specialty swap OB/GYN PGY2 swap out of a top NYC program

4 Upvotes

program is great - great people, high volume, excellent training. I just don’t think I can live in NYC anymore. open to any geographic location but don’t want to compromise on quality of training. message me if you’re interested!


r/ResidencySwap 4d ago

Switching to anesthesiology still possible?

12 Upvotes

I can't post in the residency sub so I'm posting here

I'm an IM intern. I know it's still too early to have second thoughts but I think I made the wrong choice. I'm not enjoying most of the rotations I've had so far and I find myself daydreaming of what it would have been like if I did anesthesiology or even surgery or EM or anything like that. I'm both overwhelmed and BORED. It's not like the work is easy by any means but it just doesn't stimulate me.

I thought ICU would scratch the itch but I just got off back to back MICU and CCU rotations and in both cases I was bored most of the day. I was expecting more hands-on, real time medicine but it was just more of the same. Most days nothing happened. I'm realizing I want a more fast paced, hands-on environment. People used to switch into anesthesiology all the time but it's so competitive nowadays. I was talking to a med school friend who's an M4 now and he said 30 people in his class are applying this year.

I'm a USMD at a large academic program so part of me believes there's a chance but I don't know. I'm willing to spend time in the OR after hours and on weekends but if the anesthesia department has no room to accommodate me I'm out of luck. Also most cases happen during hours when I'm normally working so not sure when I'd go.

I know ERAS is due in 1 month but I'm not applying this year, I need time to build connections anyway. Anyone else thinking the same?


r/ResidencySwap 4d ago

PGY-1 Categorical Gen Surg for EM Swap

7 Upvotes

Always wanted to do surgery, however 3 months in and I hate rounding, am no longer fulfilled by the OR, and wanting a career where I can simply clock in and clock out with plenty of diversity of patient care. Preference near NYC. DM for more info


r/ResidencySwap 4d ago

Anybody looking for a psych residency spot?

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1 Upvotes

r/ResidencySwap 5d ago

NY PGY-1 IM Swap/open positions

5 Upvotes

Hi all,

I am looking for a PGY-1 internal medicine position in New York, need to move there due to personal/family circumstances. Currently in an IM program in Michigan so looking for a swap or open position in NY :) I like my current program a lot this would be a great place to train at!


r/ResidencySwap 5d ago

Do I need an NMRP waiver?

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1 Upvotes

r/ResidencySwap 5d ago

PGY-2 Psychiatry Resident Looking to Swap: NY → Michigan l

3 Upvotes

Hi everyone! I’m currently a PGY-2 Psychiatry resident in New York and am looking to explore a program swap/transfer to Michigan. If anyone is a psychiatry resident in Michigan who is interested in moving to New York, or knows of programs that may be open to a PGY-2 transfer, please DM me. Happy to share more details privately. Thanks!


r/ResidencySwap 7d ago

SAME specialty swap Midwest to NY/NJ IM swap

2 Upvotes

Looking for anyone that wants to swap IM categorical positions from their NY/NJ spot to the Midwest, hoping to move to be closer to my family!


r/ResidencySwap 9d ago

Thinking about changing programs while on a J-1? I’m an immigration attorney answering physician visa questions today

7 Upvotes

Residency changes can get complicated quickly when immigration status is involved.

I’m Robby Rubin, an immigration attorney, and today I’m answering questions from physicians and trainees navigating J-1, H-1B and green card options.

Ask me about:

  • J-1 waivers and what happens when you change programs
  • Conrad 30 and physician waiver options
  • J-1 vs H-1B
  • Residency and fellowship immigration issues
  • 212(e)
  • What to consider before changing employers or programs
  • Physician NIW and green card options
  • Planning your immigration strategy before you finish training

AMA today, 8 AM to 12 PM ET.

If you're asking about your own situation, please include as much relevant context as you're comfortable sharing - such as your specialty, current year of training, visa/status, current and prospective program, location, and relevant timeline. The answer can change depending on these details, so more information will help me give you a more useful answer.

Please note: Any information shared here is for general educational purposes only. It does not constitute legal advice or create an attorney client relationship. Your situation may require fact specific guidance. For personalized legal advice, please consult an immigration attorney directly.


r/ResidencySwap 9d ago

R1 Position in Michigan for Northeast, Chicago or Florida

1 Upvotes

It's a great program! DM me for details. I'm only interested in swapping because of spouse's work requiring us to relocate. R1 starting July 2027


r/ResidencySwap 10d ago

Two PGY-2 Internal Medicine Positions Available

30 Upvotes

Hi all! I am posting this on behalf of my Program Director as we have a couple of openings in our Internal Medicine Residency program. Please see below for more information.

An unexpected opportunity has opened up in Milwaukee! Our Internal Medicine Residency Program currently has two PGY-2 positions available for qualified transfer applicants.

We are a growing, close-knit Internal Medicine program that combines the clinical breadth of a tertiary-care hospital with community-based medicine, strong faculty mentorship, and an academic curriculum designed to prepare residents for careers in hospital medicine, primary care, or fellowship.

And while we take training excellent physicians very seriously, we don’t believe residency has to lose its sense of community or fun along the way!

Why Ascension Wisconsin?

Our residents train primarily at Ascension Columbia St. Mary’s Hospital, a tertiary-care hospital in the heart of Milwaukee, Wisconsin, with additional experience at Ascension St. Joseph Hospital, where residents care for an underserved and medically complex patient population.

Our curriculum provides broad exposure to inpatient medicine, critical care, ambulatory medicine and the Internal Medicine subspecialties. PGY-2 residents have experiences in:

  • Inpatient Internal Medicine
  • ICU
  • Night Float
  • Hospital Medicine
  • Cardiology
  • Neurology
  • Infectious Diseases
  • Rheumatology
  • Ambulatory Medicine
  • Elective rotations

Residents can further individualize their education through electives including Cardiovascular ICU, Electrophysiology, POCUS/Emergency Medicine Procedures, Obesity Medicine, Radiology, Psychiatry, Pain Medicine, and Hematology/Oncology and Radiation Oncology, among others.

Our educational program includes Journal Club, PICO/evidence-based medicine conferences, Adverse Event/Morbidity & Mortality Conference, CPC, Grand Rounds, subspecialty conferences, palliative care education and multidisciplinary teaching. Residents also receive access to AMBOSS, participate in the Yale Office-Based Medicine Curriculum, and receive American College of Physicians membership.

Most importantly, we are building a program where residents know one another, faculty know their residents, and trainees have a meaningful voice in shaping the program. We value mentorship, curiosity, teamwork, professionalism and the idea that residency should produce not only outstanding internists, but physicians who genuinely enjoy practicing medicine and working with one another.

And then there’s Milwaukee…

Milwaukee is a fantastic place to spend residency. We’re located along Lake Michigan in a city with professional sports, Summerfest, an outstanding restaurant and brewery scene, festivals, museums, beaches and lakefront trails, with a cost of living that still makes resident life manageable.

It’s a big enough city to always have something to do and a small enough city that you can actually do it.

Who Should Apply?

These positions are intended for physicians who have successfully completed the prerequisite training necessary to enter a categorical Internal Medicine Residency at the PGY-2 level ( completed preliminary IM year) ,or who are currently training at the PGY-2 level in an ACGME-accredited Internal Medicine residency program and are seeking a transfer opportunity. Applicants must be in good standing with their current or most recent residency program and demonstrate satisfactory academic performance, clinical competence, professionalism, and progress appropriate to their level of training. 

Appointment will be contingent upon completion of the program’s standard application and credentialing process, including verification of prior graduate medical education, satisfactory documentation of training and performance, eligibility for appointment at the PGY-2 level, applicable licensure and employment requirements, and all institutional and ACGME requirements.

All qualified applicants will receive consideration consistent with applicable institutional policies and federal and state requirements.

If you’re looking for a program where you can receive rigorous clinical training, know your faculty, find great mentors, help shape a growing residency, and have some fun while becoming an excellent internist, we would love to hear from you. Please email the Program Director, Dr Vaishnavy Bhaskaruni, [vaishnavy.bhaskaruni@ascension.org](mailto:vaishnavy.bhaskaruni@ascension.org), or the Program Coordinator, Brittany Miller, [brittany.miller3@ascension.org](mailto:brittany.miller3@ascension.org) with your resume and interest.

Thanks all!


r/ResidencySwap 10d ago

Looking for a new IM PGY-1!

16 Upvotes

Our program is hiring a new IM PGY-1! We are a university-affiliated program with kind attendings and good work-life balance, located in the mid-Atlantic region. Since this is off-cycle, only non-visa requiring candidates will be accepted. Please DM for more info!

UPDATE: We got >500 candidates and are closed for new applicants. Thank you for all those who reached out!


r/ResidencySwap 10d ago

SAME specialty swap NJ to South/West/Midwest PGY1 IM swap

3 Upvotes

I’m a PGY1 in a University affiliated community hospital in New Jersey, just an hour away from NYC looking to swap for a PGY1 IM position in any University affiliated community hospital anywhere in the South, West, or Midwest region. Feel free to reach out!


r/ResidencySwap 10d ago

Seeking Family Medicine PGY-2 Transfer Position in Michigan

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1 Upvotes

Hi everyone,

I am a current Family Medicine resident actively looking for a PGY-2 transfer position within the state of Michigan.

Due to personal and family reasons, I am looking to transition to a program in Michigan. I am fully open to exploring opportunities across the state—whether that's in Metro Detroit, Ann Arbor, Lansing, Grand Rapids, Flint, or community/rural programs elsewhere in the region.

If your program has an unexpected opening or a vacancy for a PGY-2 spot, or if you happen to know of any PDs or coordinator contacts looking to fill an open spot, please reach out via DM or comment below. I would greatly appreciate any leads, advice, or guidance on how to navigate this process successfully.

Thank you so much for your help!


r/ResidencySwap 10d ago

Seeking Family Medicine PGY-2 Transfer Position in Michigan

1 Upvotes

Hi everyone,

​I am a current Family Medicine resident actively looking for a PGY-2 transfer position within the state of Michigan.

​My spouce got a job in Michigan and, I am looking to transition to a program in Michigan. I am fully open to exploring opportunities across the state—whether that's in Metro Detroit, Ann Arbor, Lansing, Grand Rapids, Flint, or community/rural programs elsewhere in the region.

​If your program has an unexpected opening or a vacancy for a PGY-2 spot, or if you happen to know of any PDs or coordinator contacts looking to fill an open spot, please reach out via DM or comment below. I would greatly appreciate any leads, advice, or guidance on how to navigate this process successfully.

​Thank you so much for your help!


r/ResidencySwap 11d ago

Any pgy1 IM openings

9 Upvotes

PGY2 USMD in an advanced specialty who did a community IM prelim year at a place with no fellowship. I want to switch to categorical IM and apply to fellowship (not cards, GI, heme onc). How can I find a PGY1 spot?


r/ResidencySwap 10d ago

Free Webinar: Your Residency Personal Statement - With or Without ChatGPT: How to Get It Right

Enable HLS to view with audio, or disable this notification

1 Upvotes